Individual
DR. ERICA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2717 S ROBERTSON BLVD, SUITE F, LOS ANGELES, CA 90034-2442
(310) 464-3440
(310) 464-3440
Mailing address
2717 S ROBERTSON BLVD, SUITE F, LOS ANGELES, CA 90034-2442
(310) 464-3440
(310) 464-3440
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 24061
CA
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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